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HomeMy WebLinkAbout3005 W Lake St - Permits/Reroof - 07/20/2004Community Planning & Environmental Services Building & Inspections Division P.O. Box 580 281 N. College Ave. Fort Collins, CO 80522-0580 City of Fort Phone (970) 221-6760 Fax (970) 224-6134 JOB SITE ADDRESS mm w LAKE sT PERMIT TYPE PEF ROOF R©ofina - PaftwAna wrzip��tOSW-512. Z �C5 Front Setback (ZZ Right Side Setback IV Plat File No. J Subdivision/Puo Lot J 8 Block License No. 0 w 0 0 aee reverse R00 TEAR OFF EXISTMG SHINGLES TO DECKING AND REROOF 22 SQUARES OF 30 YR CLASS A SHINGLES i As a condition for the issuance of a permit, I hereby declare that I am an owner or the owner's agent, authorized to perform the proposed work on the property described herein. I agree to comply with all City ordinances, and State laws associated with such work. I understand that such permit may be revoked in the event that issuance was based on incorrect or incomplete information. This permit shall become null and void if the work authorized by such permit is not commenced, suspended, abandoned or inspected within 180 days from the date of such permit or from the I e of the last inspection. 7 .20 —0 Print name of owner/agent re Date $38.5 7/20/04